ROBERT A HART MD
NPI 1831106756
Orthopaedic Surgery in Seattle, WA


Quality Rating: 82.84 out of 100 score

NPI Status: Active since August 02, 2006

Contact Information

550 17TH AVE
5TH FL
SEATTLE, WA
ZIP 98122
Phone: (206) 386-3880
Fax: (206) 386-3882

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Accepts Insurance

About ROBERT HART

This page provides the complete NPI Profile along with additional information for Robert Hart, a provider established in Seattle, Washington with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1831106756 assigned on August 2006. The practitioner's primary taxonomy code is 207X00000X with license number MD60675896 (WA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1831106756
Provider Name
ROBERT A HART MD
Gender
Male
Entity Type
Individual
Location Address
550 17TH AVE 5TH FL SEATTLE, WA 98122
Location Phone
(206) 386-3880
Location Fax
(206) 386-3882
Mailing Address
PO BOX 25608 SALT LAKE CITY, UT 84125
Mailing Phone
(206) 320-4476
Mailing Fax
(206) 386-3882
Is Sole Proprietor?
No
Enumeration Date
08-02-2006
Last Update Date
11-09-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD60675896
License State
WA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

MD21294 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001920MEDICAID (05)OR 
276807MEDICAID (05)OR 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 86 times for 68 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 65 times for 65 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

This service was performed 21 times for 11 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.84, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 82.84 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 82.14

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 60.65

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 60.65

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831106756, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 2 + 0 + 1 + 2 + 7 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1831106756.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
550 17TH AVE, SUITE 500
SEATTLE, WA 98122
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
550 17TH AVE, #500
SEATTLE, WA 98122
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
550 17TH AVE, 5TH FLOOR
SEATTLE, WA 98122
Neurological Surgery
550 17TH AVE, STE 500
SEATTLE, WA 98122
Internal Medicine (Clinical Cardiac Electrophysiology)
550 17TH AVE, SUITE 680
SEATTLE, WA 98122
Internal Medicine (Sleep Medicine)
550 17TH AVE, SUITE 680
SEATTLE, WA 98122
Durable Medical Equipment & Medical Supplies
550 17TH AVE
SEATTLE, WA 98122
Social Worker
550 17TH AVE, 5TH FLOOR
SEATTLE, WA 98122
Nurse Practitioner (Acute Care)
550 17TH AVE, 6TH FLOOR
SEATTLE, WA 98122
Nurse Practitioner
550 17TH AVE, STE 540, JAMES TOWER FIFTH FLOOR
SEATTLE, WA 98122
Neurological Surgery
550 17TH AVE, SUITE 500
SEATTLE, WA 98122
Physician Assistant (Surgical)
550 17TH AVE, SUITE 500
SEATTLE, WA 98122
Psychiatry & Neurology (Psychiatry)
550 17TH AVE, FLOOR A
SEATTLE, WA 98122
Nurse Practitioner (Family)
550 17TH AVE, STE 680, 6TH FLOOR
SEATTLE, WA 98122
Clinical Medical Laboratory
550 17TH AVE, SUITE 310
SEATTLE, WA 98122
Clinical Medical Laboratory
550 17TH AVE, SUITE 310
SEATTLE, WA 98122
Psychiatry & Neurology (Sleep Medicine)
550 17TH AVE, STE A20
SEATTLE, WA 98122
Nurse Practitioner
550 17TH AVE, STE A20
SEATTLE, WA 98122
Internal Medicine
550 17TH AVE, STE A20
SEATTLE, WA 98122
Nurse Practitioner (Adult Health)
550 17TH AVE, SUITE 680
SEATTLE, WA 98122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831106756, enumerated as an "individual" on August 02, 2006.

The provider is located at 550 17TH AVE 5TH FL SEATTLE, WA 98122 and the phone number is (206) 386-3880.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.